Neonatology presentations Flashcards
What are Ebstein’s pearls?
Type of cysts of the jaw found in the mouth
Can also be on the penis
Why do mongolian blue spots need to be documented?
Can be confused with bruise so need to document it to exclude non-accidental injury.
Does a port wine stain rash on a babies face come with any other problems?
Can have brain effects
Presentation of hypoxic ischaemic encephalopathy.
Multi-organ damage due to tissue hypoxia
Poor apgar scores
Neurodevelopmental sequeli
Presentation of hydrops foetalis.
Swollen liver
Severe abdo swelling
Causes of hydrops foetalis
Rhesus disease
Chromosomal
Alpha thalassaemia (the severe one)
When does congenital cardiac disease present?
Usually a few days after birth when the ductus arteriosus closes
Tracheo-oesophageal fistula presentation
Copious salivation
Choking, coughing, vomiting and cyanosis when first fed
What is Potters syndrome and how will it present?
Renal agenesis
Present with lung hypoplasia as need amniotic fluid to develop lungs
Trisomy of what chromosome gives edward’s syndrome and how does it present?
Chromosome 18
A spectrum, some die quickly and some can survive for months
What hand abnormality can be associated with syndromes?
Absent radius (can also occur sporadically)
How does syringomyelia present?
Mermaid syndrome
Fused lower limbs
Sometimes no renal outtract
Spinal muscular atrophy presentation
Loss of motor neurones and progressive muscle wasting
Muscle weakness
Necrotising enterocolitis presentation
Premature Poor feeding Bloating Decreased activity Blood in stool Vomiting of bile Signs of perforation if severe
Meconium ileus presentation
Failure to pass stool or vomiting within first 48 hours
Can see distended bowel loops in abdomen
Might be able to feel meconium plug in one of those loops
